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HomeMy WebLinkAboutWQ0029653_Monitoring - 06-2022_20220729FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Permit No.: WQ0029653 Facility Name: Scotch Hall Preserve WWTP ounty. Bertie Parameter MonitoringPoint: influent Effluent Groundwater Lowering E] Surface water • MEN• ®__® Daily Ma imum . . 1 -_-_�_--�_-_- FORM: NDMR 05-16 NON -DISCHARGE MONITORING REPORT (NDMR) Page of Sampling Person(s) Certified Laboratories Name: Name: Name: Name: Does all monitoring data and sampling frequencies meet the requirements in Attachment A of your permit? [✓] Compliant ❑ Non -Compliant If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification Permittee Certification ORC: BRIAN JERNIGAN Permittee: SCOTCH HALL PRESERVE WWTP Certification No.: SI 1006435 Signing Official: MIKE PARAH Grade: Phone Number: 252-325-0771 Signing Official's Title: GENERAL MANAGER Has the ORC changed since the previous NDMR? ❑ yes [] No Phone Number: 33 - 10-4761 Permit Expiration: 2/28/2026 �}- Signa Date Signature Date By signature, I c rtify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: Q/1 •.53 Facility Name: Scotch Hall Preserve.unty: BertieDid / irrigation occur -MRIM this facility? Area (acres): Cover Crop: YES NO Hourly Rate (in): Hourly Rate (in)- Hourly Rate (in�.; Annual Rat ®�I'���1�' Annualat �® Annual Rate( logo mmmm-mmm -MMMI ®M IMMEMMME MIMNMMME ® --_ _ � ___ME -__- __-_ ____ ®_-_- ____ ____ ____ -___ ® MMM -- ___- -__- ___ME -___ m--_-- ___ -___ ____ -_-- ®===MM 11Mr IMMO=MME m 0M MIr M-_-_- ___ -___ -___ __-_ m MMM MM 11MMIMM IMMEMM IMMOMMINM IMMOMMME m MMM MM 11MMIMM 1MMN=MI1M IMMOMMME 0=11=11MME ® MMM MM ��� ���ME ��r� WMM�� ®___-_ __M ____ ____ -___ ®-_--_ ___ ____ ___ -__- ®--M 0-___- ®--_ -- __ -_-_ ____ -_-_ ____ _-_- MMM MM IMMIMMINM IMMOMMINM m MMM MM IMMOMMME M1=0MMI1M ®MMM MM MIMIrINM MIMNMMME OMMMEMIM WMINMINNIMM m MMM MM IMMOMMME IMMOMMME WMINMIOMME WMINMINEMIM ®-_- __ --_,-Monthly Loading: 12 Winth Floating Total (in): o3 FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page Permit No.: Q11 •.53 Facility Name: Scotch Hall Preserve WWTP Co unty: Bertie Did .. 0 ■■■ ■ this facility? ■ii �■at �■■ ■■� El YES 7 NO i Hourly Rate (in):: Hourly Rate (in): Annual Rate (in)-_ Annual Rate (in): --.... Field Irrigated. ... o,� ... . �■� ... �� Julio■ - - - - o ■■■ ■■ ■■■IM■i■■■ MMIMMIMM■■■ ■■■IMMIMM■■ ■MIMMIMM■■ o ■■■ ■■ ■i■i■■ ■■ ■■■ �■� MM■■ ■�■■ MM■■ �■■ o ■■■ ■■ MM■■ ■■■■■ MM�■■� MM■■ ■■� ■■��� o ■■■ ■ ■ ■■■■ ■■�ME ■■��� MM■■ ■�■ MM ��� m ■■■ ■■ MM�■■ ��ME■■ ■■��� ■■�■■� m ■■■ ■■ ■■�■�■■ MM�■■� MM�■■■■ ���■■ ®■■■ ■■ ■■■■■■■IMM ■■IMMIMM■■ MM■■■■■■ ■■��� m ■■■ ■■ ■�■�■■ MM��� ■■■■■■■■■ ���■■� ® ■■■i ■■ ■■■■■■� MM��� ■■�■■■■N■ MM�■■� m ■i■ ■■ ■■INM■■■■■ MMIMMIMM■■ ■■IMM■■■M MMIMMOMMME m ■■■ ■■ MM■■■�� ■■■I� � ■ MM■■■■ ■■ ■■�■■ ■■ m ■■■ ■■� ■■■■■■■■■ MM■■IMMIMM ■■IMMIMMIMM M■■■IMMI■ ®■■■ ■■ MM■M■■IMM MMIMMIMMIMM MM■■■■IMMMMIMMIMMIMM ■■�■■■� ®■■■ ■■ MM■■■■IMM ■■IMMIMM■■ ■■IMMIMM■■ ■■IMM■■■■ ® ■■■ ■■ ■■■IMMIMM MMIMMIMMIMM ■■■■■■■■ IMMIMIMME m■■■■■ ■■■■�■■ ■■■��� ■■■■■■■■ ��� ... �■ ,„,y ■■ ,„ o 4 ,„ o s® ,„ FORM: NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Permit No.: WQ0029653 Facility Name: Scotch Hall Preserve WWTP County: Bertie Mo nth: June Did irrigation occur facilit Area (acres): at this Y7 Cover Crop:; Cover Crop: Hourly Rate (iny. Hourly Rate (in): Hourly Rate_6n� Annual Rate CinT W-WITRIMIMM MM MMM MM ® MMM MM ® MMM MM m _-_ -- ® MMM MM m MMM MM m MMM MM ® ----- m MMM MM ® MMM MM ®---_- ® MMM MM m === MMMMM MM M M Monthly Loading:o■ ®f o • ,• o 1• ••0110 • ,• FORM'. NDAR-1 05-16 NON -DISCHARGE APPLICATION REPORT (NDAR-1) Page of Did the application rates exceed the limits in Attachment B of your permit? 0 Compliant ❑ Non -Compliant Were adequate measures taken to prevent effluent ponding in or runoff from the sites? 0 Compliant ❑ Non -Compliant Was a suitable vegetative cover maintained on all sites as specified in your permit? Q Compliant ❑ Non -Compliant Were all setbacks listed in your permit maintained for every application to each permitted site? ❑� Compliant ❑ Non -Compliant Were all freeboards maintained in accordance with the specified freeboard heights in your permit? ❑Q Compliant ❑ Non -Compliant If the facility is non -compliant, please explain in the space below the reason(s) the facility was not in compliance. Provide in your explanation the date(s) of the non-compliance and describe the corrective action(s) taken. Attach additional sheets if necessary. Operator in Responsible Charge (ORC) Certification I Permittee Certification ORC: BRIAN JERNIGAN Permittee: SCOTCH HALL PRESERVE WWTP Certification No.: SI 1006435 Signing Official: MIKE PARAH Grade: Phone Number: 252-325-0771 Signing Official's Title: GENERAL MANAGER Has the ORC changed since the previous NDAR-1? ❑ Yes �7 No Phone Number:— 336-410-4761 Permit Exp.: 2/28/26 I W-A 'A" �VzAlr= / ij�m Date Signature Date By this signature, I certify that this report is accurrate and complete to the best of my knowledge. I certify, under penalty of law, that this document and all attachments were prepared under my direction or supervision in accordance with a system designed to assure that all qualified personnel properly gathered and evaluated the information submitted. Based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information, the information submitted is, to the best of my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for submitting false information, including the possibility of fines and imprisonment for knowing violations. Mail Original and Two Copies to: Division of Water Resources Information Processing Unit 1617 Mail Service Center Raleigh, North Carolina 27699-1617